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Having dull pain in chest. Suggest

Jan 2013
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Internal Medicine Specialist
Practicing since : 2003
Answered : 1658 Questions
I have a dull pain in my chest between my ribs it is going to my back as well It was uncomfortable at the weekend I could not sleep and found it very hard to breath I have been a bit frightened to eat as it hurts

Posted Sun, 16 Jun 2013 in General Health
Answered by Dr. Mayank Bhargava 1 hour later
Welcome to XXXXXXX forum.

Let me know the associated symptoms along with mentioned.
Do you have acidic belching/ abdominal bloating/ excessive flatulence/ constipation/ diarrhea?
Are you a smoker and an alcoholic?
Do you have fever with chills/ cough with sputum along with mentioned symptoms?

With the available described details, there appears to be possibility of esophageal (food pipe) ulceration.
Esophageal ulcer may cause chest pain, burning sensation, pain while eating which may also gets relieved or aggravated after eating and low back ache.

You should consult with XXXXXXX medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for complete blood count, blood sugar fasting and postprandial, serum electrolytes,and thyroid profile.

You should also go for endoscopy along with biopsy and urea breathe test for H. Pylori.
If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria. Endoscopy will also make confirm the presence of esophageal ulcers.

Treatment depends on exact diagnosis.
Meanwhile, you should also take proton pump inhibitors along with prokinetics and antacids.
Requirement of antiviral medication will be decided only after endoscopy.

You should follow the mentioned changes:
1) Don't take tomatoes, and citrus fruits.
2) Avoid onion, garlic, excessive tea and coffee, chocolates,
3) Avoid oily and spicy food, non veg.
4) Take soft diet along with yogurt.
5) Keep difference of 3 hours between meals and sleep.

Hope that helps.
Let me know your other query.
Take care,
Dr. Mayank Bhargava
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